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1902491418
GEOFFREY THOMAS SWANSON
MAYWOOD, IL
NPI
1902491418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.008580)
Enumeration Date
2021-03-05
Last Update Date
2022-08-25
Business Address
Mr. GEOFFREY THOMAS SWANSON PA-C, ATC
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
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Mailing Address
Mr. GEOFFREY THOMAS SWANSON PA-C, ATC
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-3834
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